世界経済・社会統計 = World development indicators

计量经济分析 = Econometric analysis

https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(08)61690-6.pdf

Closing the gap in a generation: health equity through action on the social determinants of health

https://link.springer.com/content/pdf/10.2307%2F3343168.pdf

Development as Freedom

The global burden of disease.

This report provides basic information about health, nutrition, and population (hnp) inequalities within fifty-six developing countries. The report's contents are intended to facilitate preparation of country analyses and the development of activities to benefit poor people. To this end, the report presents data about hnp status, service use, and related matters among individuals belonging to different socio-economic classes. The principal focus is on differences among groups of individuals defined in terms of the wealth or assets of the households where they reside. The source of data is the Demographic and Health Survey (DHS) program, a large, multi-country household survey project.

Socio-economic diffrences in health, nutrition, and population : Rwanda 2000

/pdf/health-equity-and-financial-protection-datasheet-latin-3x8bx87ubf.pdf

Health equity and financial protection datasheet : Latin America

The authors propose a method for decomposing inequalities in the health sector into their causes, by coupling the concentration index with a regression framework. They also show how changes in inequality over time, and differences across countries, can be decomposed into the following: Changes due to changing inequalities in the determinants of the variable of interest. Changes in the means of the determinants. Changes in the effects of the determinants o the variable of interest. The authors illustrate the method using data on child malnutrition in Vietnam. They find that inequalities in height-for-age in 1993 and 1998 are accounted for largely by inequalities in household consumption and by unobserved influences at the commune level. And they find that an increase in such inequalities is accounted for largely by changes in these two influences. In the case of household consumption, rising inequalities play a part, but more important have been the inequality-increasing effects of rising average consumption and the increased protective effect of consumption on nutritional status. In the case of unobserved commune-level influences, rising inequality and general improvements seem to have been roughly equally important in accounting for rising inequality in malnutrition.

On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam

This report on the Socio-economic differences in health, nutrition, and population in Mali is one in a series that provides basic information about health, nutrition, and population (hnp) inequalities within fifty-six developing countries. The report's contents are intended to facilitate preparation of country analyses and the development of activities to benefit poor people. To this end, the report presents data about hnp status, service use, and related matters among individuals belonging to different socio-economic classes. The principal focus is on differences among groups of individuals defined in terms of the wealth or assets of the households where they reside. The report is organized in four principal parts. Part one constitutes the report's core, and consists of tables presenting quintile-specific data for each hnp indicator covered from the two most recent DHS surveys available at the time of the report's publication. Part two provides supplementary technical information designed to help readers understand the data presented in part one. Part three presents supporting tables that deal with three of the technical matters covered in part two: the size of the sample for each indicator covered; the standard error for each quintile-specific estimate in the total population; and the items used in constructing the wealth index, along with the weight assigned to each. An additional fourth part consists of three annexes, for readers interested in applying the approach used in the report or in learning more about the other reports in this series.

Mali - Socio-economic differences in health, nutrition, and population

With the movement toward universal health coverage gaining momentum, the global health research community has made significant efforts to advance knowledge about the impact of various schemes to expand population coverage. The impacts on efficiency, quality, and gaps in service utilization of reforms to provider payment methods are less well studied and understood. The current paper contributes to this limited knowledge by evaluating the impact of a shift by Vietnam's social health insurance agency from reimbursing hospitals on a fee-for-service basis to making a capitation payment to the district hospital where the enrollee lives. The analysis uses panel data on hospitals over the period 2005-2011 and multiple cross-section data sets from the Vietnam Household Living Standards Surveys to estimate impacts on efficiency, quality, and equity. The paper finds that capitation increases hospitals' efficiency, as measured by recurrent expenditure and drug expenditure per case, but has no effect on surgery complication rates or in-hospital deaths. In response to the shift to capitation, hospitals scaled down service provision to the insured and increased provision to the uninsured (who continue to pay out-of-pocket on a fee-for-service basis). The study points to the need to anticipate the intended and unintended effects of any payment reform and the trade-offs among policy objectives.

/pdf/getting-incentives-right-an-impact-evaluation-of-district-2wopyjx69r.pdf

Adam Wagstaff

Papers

Socio-economic diffrences in health, nutrition, and population : Rwanda 2000

Health equity and financial protection datasheet : Latin America

On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam

Mali - Socio-economic differences in health, nutrition, and population

Getting incentives right : an impact evaluation of district hospital capitation payment in Vietnam